Create issue ticket

130 Possible Causes for Abdominal Rigidity, Periumbilical Pain

  • Appendicitis

    Abdominal rigidity is highly specific (83%) with a low sensitivity (27%).[] Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[] rigidity, and migration of pain from the periumbilical region to the right lower quadrant increases the likelihood of appendicitis.( 7 ) Although often atypical, the history[]

  • Intestinal Obstruction

    This mass may be difficult to locate in inconsolable infants because of abdominal rigidity from muscle straining. Early on, vomiting of undigested food may occur.[] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[] The obstinate constipation, the developing abdominal distention, the rapid pulse, and the fecal character of the vomitus will point toward intestinal obstruction.[]

  • Acute Pancreatitis

    An abdominal examination may reveal bloating, exquisite tenderness or rigidity – stiffness due to muscular contractions in your abdominal wall.[] […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[] In acute pancreatitis, the abdominal wall muscles will be rigid. When listening to the abdomen with a stethoscope, there may be very few or no intestinal sounds.[]

  • Mesenteric Infarction

    Examination  normal abdominal examination in the face of severe abdominal pain.  No signs of peritonitis.  abdominal tenderness ,guarding, rigidity .  These signs develop[] The most common is the 10—30 minutes postprandial occurring dull abdominal pain. It is periumbilically localized and lasts for one to four hours.[] They may develop abdominal wall rigidity. Bloody diarrhea and heme-positive stools are a late finding after bowel has infarcted.[]

  • Mesenteric Vein Thrombosis

    As ischemia progresses to necrosis, peritoneal signs evolve, including involuntary guarding, rebound, and abdominal wall rigidity.[] A 76-year-old Caucasian man presented with acute onset of intense periumbilical abdominal pain associated with nonbloody diarrhea.[] […] and lower abdominal pain for 1 week.[]

  • Hemoperitoneum

    Surg Clin North Am. 2014 Feb;94(1):65-9. doi: 10.1016/j.suc.2013.10.006. Epub 2013 Oct 30. Author information 1 Section of Trauma & Acute Care Surgery, Boston Medical Center, Boston University School of Medicine, 840 Harrison Avenue, Dowling 2 South, #2414, Boston, MA 02118, USA. Electronic address:[…][]

  • Umbilical Hernia

    The entire abdomen may become rigid and tender to touch, the Merck Manuals warn.[] We report a case of a painful periumbilical mass ultimately diagnosed as an infected urachal cyst.[] Pain Umbilical hernia may cause mild pain or burning at the site which increases with activities that increase abdominal pressure such as having a bowel movement or cough.[]

  • Small Bowel Obstruction

    Severe direct tenderness, involuntary guarding, abdominal rigidity, and rebound tenderness suggest advanced SBO, as do marked leukocytosis, neutrophilia, bandemia, and lactic[] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[] Physical exam may reveal restlessness, acute illness, and signs of dehydration and sepsis, including tachycardia, pyrexia, dry mucous membranes, hypotension/orthostasis, abdominal[]

  • Intestinal Perforation

    Physical examination may reveal abdominal guarding, rigidity, signs of injury or even shock.[] Etiologies include: actute diverticulitis cancer inflammatory bowel disease ischemic bowel abdominal trauma Presentation Symptoms abdominal pain and rigidity Physical exam[] The rapid emergence of symptoms: severe abdominal pain, nausea and vomiting, increased body temperature, abdominal tenderness, rebound tenderness, abdominal rigidity, bowel[]

  • Acute Mesenteric Ischemia

    Later, as necrosis develops, signs of peritonitis appear, with marked abdominal tenderness, guarding, rigidity, and no bowel sounds.[] We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea[] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[]

Further symptoms

Similar symptoms